Commentary On The Conversation By Claire L. Stacey

The challenge America now faces is the number of people reaching retirement will double in number by 2030, and the U.S. population will increase almost 20 percent ("Our Aging Nation," 2015). The goal is for the elderly to maintain and live with independence and dignity, as well as, provide a wide range of professional health and social service expertise, home care, and residential support and services that will be needed ("Our Aging Nation," 2015). Since the number of caregivers needed for this population will not be able to meet the demands other resolutions are considered necessary.

In the U.S, one in four will be aged 60 years and older by 2050 (U.S. Census Bureau). This represents an overwhelming number of people who will either be in the caretaker role or be the ROC. Like today, most of the care will be provided by informal unpaid caregivers. The number of informal unpaid caregivers is expected to rise from 20 million in 2000 to 37 million in 2050 (Office of the Assistant Secretary for Planning and Evaluation [ASPE], 2003). Because of the burden of care giving, many caregivers will experience depression, poor health and quality of life (Etters, Goodall, & Harrison, 2008). Their well-being is an important public health concern.

Assisted living helps each person value life to its fullest potential. When it comes to making an older individual feel more at home and also be able to focus more on non-stressful activities, they need to be ensured the best care. “Families feel more confident and are less ‘protective’ when there is continuity in staff and they are deemed competent. Staff are more likely to be retained where they feel valued”2 part of the quote which is especially conducive to the argument is, “where they feel valued.” When picking and choosing a nursing home that fits individual the best, and will provide them with the care needed, it is important to make sure that everyone is valued in the process. This quote is important because if the workers are not being taken care of, then they are less enthusiastic and also less likely to give someone’s loved one the care needed and to know what is expected from them. It is assumed that when picking an assisted living home, that the well being of the person and also many other characteristics are taken into

Our elderly population is living longer than ever before and not all of them are entering into a nursing home. They are choosing to stay in their own home or their caregiver is choosing it for them. Some caregivers are choosing to move their ageing love one in the home with them. Whatever the case may be, there is an increased need for some type of home health as it applies to the elderly population. “Medicare will pay the full cost of professional help only if the physician

In these services they would usually be offered help with activities of daily life, such as eating or bathing. Some home services also give them other benefits such as residential services, personal care or case management. To give more open details on experiences of Medicaid beneficiaries who need home and communities based services Musumeci and Reaves discuss nine seniors who are disabled and who live in different states. Those include people with different kind of disabilities which can be either developmental, physical or intellectual and issues such as autism, cerebral palsy, multiple sclerosis and their functional limitations that are there because they aged (Musumeci & Reaves, 2014). Based on interview that were given from these people to the Kaiser Commission in 2013 based on Medicaid and uninsured, these peoples’ profiles clearly show us how beneficiaries funds, well-being, status of their employment are affected by the coverage of Medicaid and the role these services play in their daily lives (Musumeci & Reaves, 2014). In the last years states are trying to work on rebalancing long-term care system by dedicating more spending to home and community care rather than institutional care. The reason is this being the efforts that are driven by beneficiaries who are

One thing every living organism has in common on this planet-- age. No one wants to age or face the fact that aging is inevitable. However, since it’s impossible to beat the never ending time clock that is life; everyone wants to be as comfortable as possible when age finally does catch up with them. When the majority of people think of comfortability in old age, they think of living in their own homes and being surrounded by their loved ones. Not many individuals want to be placed into a nursing home type facility because they can’t imagine themselves being comfortable that way. Nonetheless, even though being placed in a home does take away some of an elderly person’s independence, usually the independence lost is in activities that person can no longer do for themselves. Indeed, nursing homes do have their own set of scary stories behind them; life lost, independence lost, and privacy lost, yet many of those stories are outdated. Upon investigation, it would be easy for anyone to scare themselves out of a nursing facility due to the stories that are out there. Yet, upon even further research people would be able to see how far the United States has come in their development and evolution of nursing care facilities. The care of the elderly in the form of nursing homes has faced a tough evolution starting off with a harsh past, to what nursing homes are like now, and what people can expect for the future of these homes.

We can’t purport to have a national goal to “eliminate health disparities” and continue to accept the social inequities that come from such a major gap in wealth. If we hope to solve the pressing issues of eldercare, these inequities must be addressed head on now and in the future. Otherwise, those who are caregivers now may not have access to the care they will need in the future.

Long-term care or nursing home was used by someone requiring help with physical and emotional needs, etc. The role of informal caregivers like family and friends are to help those less fortunate than themselves. In the past, there were several generations living under the same roof of the informal caregivers. (Pratt)(2016), “There are several types of services that makeup the institutional and nonistitutional care.” (p20) (Pratt)(2016), “Institutionalized cares are mainly the nursing care, assisted living care, subacute care and housing services because these are in a facility.”

If you've ever thought about senior homecare, you've probably heard or read some home care myths that made you stop and think twice about it. With only a third to a half of seniors receiving homecare going through a professional care agency, many family care providers wonder what the reluctance is. Perhaps some of the myths are true?

Care homes should provide a quality of service meeting the needs of the residents as in a normal setting. However, the institutionalised nature of the care has many negative impacts on the residents’ as they perceive it is as negative form of care and a service denying independence, autonomy, privacy, power and other principle of human rights. Elderly are abused and neglected in some care homes while large proportions of staff caring for them are untrained and incompetent in caring. Funding for elderly care is major issue, on one extreme elderly are being forced to pay for care and on the other local authorities struggle to manage service within their budget.#

Canadian Home Care Association, “Home Care 2020: A Vision of Health, Independence & Dignity,” available at

In my opinion, I feel that every person should be given the best medical care available and the opportunity to live a long life expectancy. As an assistant, I must make sure that the hospital follows the proper ethical guidelines and ensure that the client is aware of her choices and what is available to her as well as her rights. I will also make sure that the patient knows what the health home offers her as an elderly woman who lives alone and is in need of some assistance. Health homes in today’s society have begun to take hold in several states via the integrated care delivery models. This has been occurring in the U.S. who continues to search for modern ways to control the costs of health care. Some states have progressively become labs

Germany was reported to recognize and support nearly 72% of family caregivers and plan beneficiaries who have chosen to receive direct services of a cash stipend which amounts to half or less than half of the cost of home/community-based care (Campbell, Ikegami, & Gibson, 2009). In addition, if a family member had provided a minimum of fourteen hours of care per week, the long-term care insurance coverage would cover that individual’s social security premiums and respite care for vacation with the aim of making the caregiver’s job more competitive with regular employment opportunities (Campbell, Ikegami, & Gibson, 2009). In Japan, long-term care insurance coverage has attempted to support the caregiver role by offering services such as home assistance, adult day care services, respite care, home modifications, assistive devices, and visiting home health care (Campbell, Ikegami, & Gibson, 2009). The United States could learn from both of these approaches utilized by Japan and Germany according to Campbell, Ikegami, & Gibson (Campbell, Ikegami, & Gibson, 2009). The CLASS Act would have provided a similar cash incentive in the United States, and it would have allowed consumers to have the greatest amount of choice while the main drawback would have been the potential impact on the development and availability of formal services in communities (Campbell, Ikegami, & Gibson,

The book As We Are Now, written by May Sarton, targets those concerned with the care of elderly individuals in nursing homes. In the book, Sarton artistically highlights the plethora of ongoing issues social workers face in their work as they attempt to provide quality care to the elderly population. The book is written as the memoirs of a very thoughtful elderly woman, Caroline Spenser, as she spent part of her life in a nursing home; and brings to light the lack of quality of care that elderly individuals received when living in such a facility in the 1970’s.

In order to explore the individual experiences of an older adult in the United States, we conducted an interview of a 78-year-old white male living in Silver Spring, Maryland. Throughout this paper, the interviewee will be referred to as Edgar; this is not his real name. The interview was conducted in the home of one of the interviewers because it is close to Edgar’s home. Throughout the interview, we discussed Edgar’s personal experiences with ageism, the physical and psychological effects of aging, family and social supports in old age, and the transition from work to retirement. While his experiences with personal aging are similar to that of many other individuals his age, his experience as full-time male caregiver offers unique insight into an unofficial occupation dominated by women.